Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole A Mooney

Individual provider Behavior Technician · NPI 1104423441

Nicole A Mooney is a Behavior Technician in Grand Rapids, Michigan. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

4218 Burton St SE
Grand Rapids, MI 49546-6121
Phone: (616) 301-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 — (248) 436-4400

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1104423441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

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